#psych critical

[headspace-hotel]

facts about The Fear, after 20 years of life with her

The Fear is NOT:

an intruder, invader, or some other entity from "outside" You

inappropriate, wrong, or incorrect

a responsibility

a punishment

"irrational" or otherwise able to be understood through a relationship to "rationality"

an "inaccurate" representation of reality

The Fear IS:

an innate part of you

extra-rational—she exists outside and completely independent from "rationality" and does not respond to being judged according to that lens

self-love—her purpose is to protect you and keep you safe

self-sufficient—fear is a 100% whole, complete entity that doesn't "represent" or "reflect" something else

earnest—fear is always a 100% real experience that is exactly as it is felt, and, needing no comparison or reference to any external reality, it is not "dishonest" or "inaccurate"— it asserts a claim about only itself

subversive [not quite the word I am looking for but it will have to do]— is not necessarily beholden to social and cultural norms of what should be feared, how much, and how you should respond. She does not stop existing in the absence or suppression of vocabulary to describe her.

a demand for care— she does not just communicate to you but to the community you are part of; she calls attention to an obligation that this community has toward you, to make sure that you are safe within it and that your experiences are heard and understood.

yeah, so, i've had severe anxiety for my whole life and the way it's been treated and dealt with, and the way I've been taught to understand it, has really fucked me up so I am trying to lay the groundwork for understanding it differently

I think it's pretty fucked up that we're taught to see anxiety as deceptive or inaccurate. Now, obviously the images or projections in my fearful thoughts do not usually "reflect reality," but I have come to see this as...not particularly important?

Teaching an anxiety sufferer to restructure their thoughts to dismiss and contradict "irrational" fear is, in my opinion, the same as teaching a chronic pain sufferer to restructure their thoughts to dismiss and contradict pain with no clear physical source. You might as well speak of "irrational" pain, and pain has the same relationship to rationality that fear has.

"Irrationality" is a quality assigned to fear that is judged by an outside observer, or by the collective cultural biases and hang-ups of a society, as not appropriate to a given situation. This is total fucking nonsense and we should be talking about that, because...well, the first reason is that it implies some kind of fixed standard for what fear ultimately is and isn't for. i like to tell people to watch one of those Coyote Peterson videos where he's going to get a tarantula hawk wasp to sting him, because he's obviously having a strong physical fear response, even though he knows it won't kill him. Is it "rational" to fear suffering and not just death? How much suffering? Sit with that one a little while.

The second reason, which is even more convincing, is that the "rational" brain is not consulted at any point, ever, when a person feels afraid. It's just a response. The fear response is not routed through the conscious, sapient, reasoning brain. And thank God, because if we needed to hear back from an upstairs executive before we could decide whether to run from a lion, our species would be extinct.

Techniques like Cognitive Behavioral Therapy were absolute fucking shit at making my life any better, but fantastic at wrecking my ability to identify my own emotions, because Cognitive Behavioral Therapy for anxiety basically amounts to trying to brainwash yourself into thinking you don't feel the emotions that you do. It's a really neat way to develop bizarre psychosomatic symptoms and start experiencing anxiety through constant body pain, swollen lymph nodes, and digestive issues.

For an institution that pathologizes having "alters," psychiatry sure loves to encourage a suffering person to view normal and ultimately good parts of themselves as distinct, intruding entities to be shoved in a closet somewhere.

And yes. Fear is ultimately a good part of you, a part of you that loves you.

What began to set me free was feeling that acid terror and sickness and rage course through my body and realizing—really realizing—that I was being illuminated with this ancient, powerful force driving me to LIVE.

I want us to make it. I want you to live.

And you know what, I want me to live too.

I abandoned the doctrine of calming down—Lord knows it had never worked anyway—and started really just exploring and existing in the Fear.

How did that feel? Bad. Very very very very very bad and really not productive or helpful at all initially. Which was unavoidable. Necessary. She had been frantically clawing to communicate with me for so long, and I had been shutting her away, silencing her, resenting her presence in my psyche. I started trying to show gratitude toward the signals my body gave me. I started trying to show gratitude toward her—and i guess the Fear was a Her now, this just seemed more respectful.

And it seemed like nothing happened, but several things happened.

I stopped searching for validation. That was a big one. At some point I just...stopped needing a "reason" or justification for the fear I felt (trauma???? neurodivergence???? neurodivergence trauma????) and the fact that I experienced it became completely sufficient and satisfying to me. So much guilt and confusion disappeared.

I also became steadily more confident about my own boundaries, particularly in regards to recovery.

It's awful now that I think about it, but I think I felt this sense of almost moral obligation towards "recovery," as if I needed to "overcome fear" to be Courageous and Virtuous. It made me feel crushing guilt to feel any hesitation about this.

But then this started to change. It became more real to me that was the only person affected by the steps I did or didn't take toward recovery, and there was no moral dimension to it. A therapist couldn't put me in a box I wouldn't willingly go into.

Freedom from these judgmental frameworks is really important to me. I think that I always hated the idea of getting "better" because it seemed like "better" would mean just getting better at submitting to things I was afraid of while everything felt just as bad as it always did on the inside.

And on some level—even though I could never put it into words at the time—I violently hated the idea of "recovery" from some of my fears because it seemed like the ultimate denial of agency. I didn't want to "become okay with it"—the possibility felt dehumanizing. It felt awful.

And I realize now that this is because The Fear represented something I needed to have a right to. Many of my most life-destroying fears centered around things being done to my body, and if I could have pressed a button and been no longer afraid, I wouldn't have, even though it would have spared me so much suffering, because...I needed it to be okay to want agency over my body. I needed it to be right. The Fear, in this case, was a demand that my body be treated as sacred.

I realized that there were many cases where The Fear was a territorial claim of sorts, a demand that certain needs be honored and met—She needs this. This is FUCKING non-negotiable.

And it really...prompted me to look backward on my life and see The Fear differently: not as a responsibility I had failed to shoulder (me?? a little child??? responsible?? Responsible for being brave, when every day felt like facing a firing squad?????) but as a collective responsibility

Because I was not alone in those memories—I was surrounded by adults that saw me suffering, and often dismissed, ignored or ridiculed it. The Fear grew larger and larger; why?—to protect me. Because teachers, nurses, doctors, and camp counselors did not do any of the thousand thousand things they could have done to make that little girl feel safe. Because my well-meaning parents praised me when I was "brave" but I, a little kid, literally couldn't communicate how awful it always felt.

The Fear was not there to torture me. The Fear was and is doing her best to keep me safe. It's not wrong, there's no need for guilt. It just is.

It doesn't feel good. But maybe one day it will feel better.

[dromaeocore]

So, Peer Respites are a not-very-well-known alternative to psychiatric hospitalization. They are 100% voluntary and staffed by peers, AKA individuals with lived experience of mental illness/emotional distress/what-have-you. Generally, they are a homelike environment where you can come and go as you please, and there is lots of voluntary programming like groups, art, yoga, etc. You can bring your own food or cook meals together with staff and other residents. Stays are usually anywhere from five days to two weeks, depending on the respite house and also your own wants and needs. There are no restraints, strip searches, or seclusion.

They're also on the rise!! I know this because I've spent all day today compiling data on peer respites in the US so I could create this fun graph for ya'll.

In the past ten years, at least 38 new peer respites have opened in the US. The data for 2023 is incomplete, but at least one has already opened, and another is scheduled for a soft opening later this year.

Some things about the data:

I did not include peer respites which were permanently closed (2) or could not find an opening date for (1)

I used the National Empowerment Center's Directory of Peer Respites, along with some internet sleuthing to find a few more (and to find the opening dates for each one). Because of this, I may have missed a few.

There were a handful of peer respites for which I could not pin down a for-certain, exact date for. I did include these in the dataset as I was able to find rough estimates.

I have also not done a deep dive for all peer respites that were unsuccessful, which may skew the data a little bit.

I included Soteria Vermont as well, as it technically fits the definition despite being specifically for people with psychosis

If you would like to help get a peer respite off the ground, I would recommend donating to Peer Support Space Inc.'s Orlando FL Peer Respite. Their soft launch is November 2023, and they are scheduled to open to the public in January 2024. This is really important, because Florida's only peer respite has recently permanently closed.

If you're interested in starting your own peer respite, the National Empowerment Center has a list of resources here.

If you are interested in seeking help from a peer respite, there is a directory of most of them here. You can also look at the Google Doc I created to compile my data, which has a few more/is slightly more updated - though it's not nearly as nicely put together as the other one!

If anyone would like to add any information, non-US peer respites, etc, feel free to!

[actuallyverynormalbtw]

i dont like to talk about self-diagnosis because i dont enjoy people making assumptions about me, my illnesses, and my diagnostic status. but i will say:

i have self diagnosed and gone on to be medically validated with an official diagnosis. multiple times actually. i was never wrong about my self-diagnoses.

however, i have been misdiagnosed by professionals FIVE TIMES. and let me tell you, a professional diagnosis being wrong is far more harmful than a self-diagnosis being wrong.

if your self diagnosis is wrong, maybe you used the wrong language or put yourself in a box or now feel invalid and whatnot. but if your professional diagnosis is wrong, it can lead to abuse, medical trauma, panic attacks, issues with medication, even suicide.

i was misdiagnosed with BPD when i was 15 by a psychologist that i spoke to for hardly even 10 minutes. this diagnosis was based on my parent's description of my reactions to abuse, and the diagnosis was used to validate and excuse their abuse.

i was misdiagnosed with MDD when i was 12 and put through several different types of anti-depressants. we never found anything that worked, because it was actually ADHD and dissociation, but i did end up with panic attacks and insomnia all throughout middle/highschool!

when i self-diagnosed with autism however, it saved my life. it took me out of active suicidality because i was able to finally able to accept myself after years of feeling like i am just "being a person wrong". i had the knowledge to accomodate for myself and the language to advocate for myself. this was life changing. even if i was wrong, which i wasnt, i dont see how it couldve caused any harm.

my opinions on self-diagnoses arent black and white, and im not entirely settled on them either, but i do think this is important to understand. doctors and psychologists are not all knowing. we live in a time where we can access thousands of dollars worth of university level education on the internet, even the same exact resources medical students use. plenty of people are capable of interpreting themselves and that information to come to a conclusion about what they are experiencing and what might help.

sure, self-diagnosis might be biased. but a professional is most likely going to be just as biased, and possibly less aware of it. its just silly to use bias as a primary argument when it is an inescapable feature of human psychology. there is a reason ADHD is underdiagnosed in women. there is a reason anxiety disorders are underdiagnosed in men.

an incorrect self-diagnosis wont take away resources or your space in your comminities. but professional misdiagnosis can cause real damage.

(i am not trying to fear-monger about professional diagnosis, moreso responding to the fear-mongering surrounding self-diagnosis)

[trans-axolotl]

Image description: [ A digital poster with a beige background and a small graphic of a book that has yellow flowers growing out of it. Text says: Psych survivor Zine. Open call for submissions from Mad Artists. Looking for pieces that explore how psych survivors resist psychiatric violence, with a special focus on transforming our medical records. Pieces exploring topics in mad studies, antipsychiatry, and peer support are likely to be a good fit. $100 Stipend. Deadline for proposals: March 31st. For more information and next steps to submit artwork, please go to https://tinyurl.com/psychsurvivorzine. For any questions, email Elliott at psychsurvivorzine@gmail.com]

Hello everyone! I am thrilled to announce that I'm searching for collaborators for the first edition of a Psych Survivor zine!! I've been working on this project for a while, and there are several other components that will be rolled out throughout this spring (if you aren't an artist/writer but still want to be involved, keep an eye out on my blog.) This zine is going to be physically published and hosted on a website created specifically for this project.

This zine is open to anyone who identifies as mad/mentally ill/neurodivergent/psych survivor/ex patient, and any form of art is welcome, whether that's poetry, critical essays, digital art, photography, or anything else. Due to funding constraints, I will likely only be selecting 10-13 people to add to this edition. This edition is focused specifically on abolishing and transforming our medical records, and click on the link above to read the full prompt.

Please feel free to email me or message me on tumblr with any further questions, and I'm so excited to hopefully work with some of you on this project!

[rattusn0rvegicus]

Sometimes, when talking about the current psychiatric system, we get lost in anger and don’t look towards alternatives and what a better tomorrow might look like. Here’s some cool mental health/psychiatry reform things that I think are neat (Somewhat US centric bc that’s where I live). Lots of them focus on psychosis, because I think psychosis is a sorely ignored subject in mental health activism.

US Peer Respite Directory - A list of voluntary, community-based, non-clinical crisis support group-home like environments that are staffed by people with lived experience of mental illness and/or lived experiences in the psychiatric system.

Students With Psychosis - A nonprofit that empowers students with psychosis through virtual programming, support groups, etc. They’re run by the amazing Cecilia McGough, an advocate with schizophrenia.

Hearing Voices Network - A network of support groups for people who hear voices, see visions, and have other extreme experiences. Focused on supporting individuals without judgement and giving them a place to explore their experiences and grow from them.

Open Dialogue - An psychosocial approach to psychiatric services that focuses on treating clients with respect, shared decision-making, dialogue between client, providers, and family (if the client wants family involved), and more minimal use of medication.

CommonGround software - A software developed by Dr. Pat Deegan that allows clients to communicate their needs to their providers more efficiently to support shared-decision making. Dr. Deegan has a lived experience of being diagnosed with schizophrenia and believes in personal medicine and med empowerment.

Project LETS - A radical approach to peer support and healing that has a disability justice centered approach, giving people with lived experience a voice and focusing on mutual aid. They provide peer mental health advocates, self-harm prevention, and more.

Integrative Psychiatry - A holistic form of psychiatry that focuses on nutrition, exercise, therapy, and psychosocial factors, where medication is just an aspect of treatment. US database of integrative psychiatrists here.

Soteria Houses - Community homes with peer support that provide residents with personal power, responsibilities, and “being with” residents, that focus on a humane and person-centered approach.

Relating to Voices Using Compassion Focused Therapy - A self-help book by Drs. Eleanor Longden and Charlie Heriot Maitland about managing distressing voices and building a respectful, cooperative relationship with them. Views voices as potential allies in emotional problem-solving rather than enemies.

Clubhouse International - A non-profit organization that gives people with mental illness opportunities for friendship, employment, housing, educational, and medical services all in one place. It was founded by a group of friends who survived a psychiatric hospital together.

Psychosis Research Unit - A group of psychology researchers who are doing research on and developing psychotherapeutic techniques for coping with and managing psychosis, such as CBT for psychosis and Talking with Voices therapy.

[identitty-dickruption]

harm mitigation is NOT:

shaming people into starting recovery

coercive or forced

pressuring people to take steps they’re not ready for

harm mitigation is:

paced at whatever pace works for the individual

focussed on providing information that will keep people safe while they continue to engage in “unhealthy” behaviours

sometimes a stepping stone towards recovery, but NOT ALWAYS

an option that should be available for all people, regardless of their situation

[yellowyarn]

Sometimes i wonder what the people at the psychiatric hospital did with the cords from my pants. i wonder what they do with all the tings they take from us. do they just get thrown away like they are nothing? i cried over losing the cords from my favorite frog pajamas i wonder if the nurses knew i would cry about that.

[disabledunitypunk]

What is unitypunk?

Unitypunk is a disabled subculture encompassing other movements like cripplepunk, neuropunk, madpunk, and pluralpunk, as well as other movements like the anti-psych, pro-delusion, and pro-self-diagnosis movements. It's focus is on building a single, disability-justice-focused coalition; a united face against all kinds of ableism

To this end, the movement rejects gatekeeping of terms and talking about experiences based on having the "right" diagnoses or the right "kinds" of diagnoses. It is focused on assuming good faith, on people's similar experiences being shared in turn as a way of saying "I understand, and stand by you", on pulling up chairs rather than building up walls.

This is partly in response to small but vocal minorities within the community who insist that their experiences are entirely unique to their diagnosis or type of disability, and that disabled folks of other kinds are not welcome in their conversations about disability justice. This flies in the face of intersectional anti-ableism, and as I and other physically disabled neurodivergent people have noted, often leaves us unable to talk about a full half of our experiences.

The foundation of unitypunk is that the brain and body are inextricably interconnected - all physical organs that are interdependent on one another - and that while for some the symptoms of physical and psychological disabilities may be entirely separate or different, for others they are impossible to differentiate or functionally the same. The gut is the second brain. The body keeps the score (of trauma). Where in your body do you hold your emotions? The mind-body connection. All commonly used phrases when talking about disability, all illustrating this connection.

A psychological condition may be physically disabling. Autism can cause significant mobility issues. Anxiety can cause cardiac issues. Something like agoraphobia may cause someone to become as effectively housebound as someone with mobility issues and an inaccessible door. A physical condition may also be psychologically disabling. Absorption issues in the gut, particularly in regards to vitamins D and B12, can wreak havoc on the brain. Thyroid and adrenal/endocrine issues are one of the first things tested when seeking a mental health diagnosis. And of course, chronic illness can cause depression, anxiety, and trauma. Whether direct or indirect, the effects are the same; a complexity to the manifestation of symptoms that cannot be neatly squared away into little boxes.

This movement recognizes that only by recognizing and celebrating the breadth and depth of that complexity will we be able to achieve true disabled community and solidarity. It prioritizes a united front over personal differences. You don't have to like the disabled person next to you, but we all have to put aside any petty squabbles and fight for each other, or go down together. This includes being intersectional and inclusive of all other identities, whether you understand them or not. This means not disparaging or writing off identities, and judging people for their actions, not their labels. It also means, while it's fine to make spaces focused on a specific aspect or kind of disability, that it's important to recognize that real life experiences are messy and won't always respect neat lines being drawn. This is especially true of the experiences of physically disabled neurodivergent people, who are multiply marginalized and deserve to have our experiences heard and respected.

The most important things you can do here are to talk, and to *listen*. This account, this *movement*, is just a starting line. The end goal is total disabled liberation, and the only way we will get there is marching together.

[sophieinwonderland]

We are a tulpagenic system, I told my mom and sister about my headmates and they were accepting and supportive! But after meeting with a psychiatrist that changed.

One day during a depressive episode, a new headmate appeared. This new headmate started fronting everytime I was distressed. He scared me a little because he is kinda aggressive. (I say it in past tense because he doesn't scare me anymore! He has his reasons to be that way).

So yeah I told a psychiatrist about us, because I didn't know what to do and wanted help. She asked me if I had a video of me switching. One of us likes to make videos so we had one. After watching the video she asks me "what happened to you?" I say nothing, she says "something should have happened, because multiple personalities happen because of trauma". So she kept asking if something happened in my childhood, I really didn't know what to answer other than "nothing happened".

I didn't want to tell her about tulpamancy because I thought that would make everything more complicated.

After a time the new headmate fronted and got angry at her, and then she says "I don't want to talk with [new headmate's name] anymore, talk to me as [my name]".

She told me if I keep changing with these "characters" she would send a letter to my university that says I can't study psychology (the career I'm currently studying). At that moment I regretted telling not only her, but my mom and sister about us. My mistake. I admit I didn't think much about the consequences. Also as I said before, I was scared of the new headmate.

After that day when I mention my headmates to my mom and sister, they react strangely. Before, they would be enthusiastic, but now they just keep silent and try to change topics.

Sorry for writing the Bible, I wanted to get this off of my chest. 😅 Have a nice day/afternoon/evening!

Oh, WOW! I'm so sorry that happened. That is awful! And I'm pretty sure illegal.

Even assuming the therapist is ignorant of endogenic systems, this isn't even how you treat someone with DID. DID often comes with amnesia, and this may extend to forgetting of traumatic events. And even if traumatic events aren't remembered, people with PTSD tend to not want to talk about trauma. Avoidant behavior is a key aspect of trauma, and asking you if you're traumatized and getting mad if you say you're not is just a really bad practice, even for patients who actually have DID.

On top of that, while I don't know where you're from, in the United States at least, sending a letter to your university feels like a huge violation of HIPAA. I'm not certain if it's technically illegal to merely threaten to violate a patient's rights, but the fact they did, and in order to bully you into denying your experiences, at least indicates that they have no business treating other patients.

I would highly recommend finding a new psychiatrist immediately if you haven't already.

You did NOTHING wrong by coming out.

The psychiatrist who you seen is a terrible doctor and a danger to their patients. You aren't to blame for their actions.

[chronicbitchsyndrome]

something to keep in mind while reading: i experience psychosis, i am professionally diagnosed with a variety of extremely stigmatized mental health diagnoses, and i identify strongly with the label "borderline."

sooner or later, the ~mental health awareness~ and ~neurodivergent awareness~ movements as a whole are going to have to reckon with the fact that mental health diagnoses are labels put on classifications of behavior patterns, and those behavior patterns can be actively harmful to other people. and what i mean by that is that classifying people's behavior is not identifying ontological attributes of people's personalities or biology; it's loosely grouping different behavior patterns into categories and slapping a label on them. there is no difference between "having borderline personality disorder" and "enacting a behavior associated with borderline personality disorder;" the only criteria for the diagnoses are that you enact some or all of the behaviors associated with the label.

the idea of "these stigmatized diagnoses do not make you a bad person" is objectively correct, in that the label "bad person" is inherently not useful and erases the material factors behind someone's behavior. however, framing mental health diagnoses as if they are some ontological attribute of the self divorced from behavior doesn't actually serve to "destigmatize" mental health as a whole.

people labeled as mentally ill are put in this catch-22 where we either admit that some of our maladaptive behaviors associated with diagnoses can be harmful to others (and thus are used as rhetorical supports for how mental illness labels are describing an ontologically bad and evil category of person), or we push the party line that "mental illness doesn't make you a bad person" and divorce any harmful behaviors entirely from the mental illness label of the person performing them (thus further stigmatizing those of us who have maladaptive and externally harmful behavior patterns associated with our diagnoses, as of course these can't be "because" of our mental illness--ignoring the fact that the mental illness label does not exist outside of our behavior to begin with).

it's a well-documented fact that the DSM buries the role of trauma and other material factors in shaping the behaviors it categorizes to begin with; the desire to divorce the label from any materially harmful behaviors it ascribes to itself is yet another case of ~mental health awareness~ pushing the responsibility of reshaping society and interacting with trauma onto the individuals suffering under these systems of oppression and systemically enabled trauma. in order to actually do the dirty work of addressing material harm, we need to get down into the weeds of why someone enacted that harmful behavior to begin with--what environment that maladaptive behavior arose from, and what material factors need to be addressed in order to solve that behavior and redirect it into healing and positive interactions.

like... that's the problem, at the end of the day. in order to address harm, you need to humanize and understand the person doing harm. shoving people off into more and more categories of "bad person" does nothing to actually, materially address the harm caused, and further enables more harm in the future. mental health labels, if used in a lateral and non-oppressive way, should be used as shorthand to refer to a category of behavior in order to more fully understand the material factors that go into shaping that behavior, in order to better promote healing and a functional community. there should not be a stigma around admitting that a label could describe someone who commits actions that are materially harmful, and that label is applied directly because of their behaviors--to say otherwise is just shifting who the group it's okay to oppress is, rather than trying to agitate for collective liberation.

(note: plenty of behaviors associated with mental health labels are not harmful to begin with. we could also do a lot better by examining how we conceive of "harm", because "someone existing with an emotion that makes you feel uncomfortable" or "someone doing something you think is weird" is not it. but that's not what this post is about, so i am choosing not to address it in-depth.)

[fragmentating]

One thing that really gets me is the arbitrary rules surrounding diagnosis. I often mainly focus on psychiatric abuse and violence because it's one of those areas that need like, immediate action and most people refuse to be aware of it at all. But I always come back to the arbitrary categories and it wrecks me

For example for a couple years I would frequently experience feelings that were like a 100% match to the most stereotypical mania you can imagine. It was scary and exhausting but what do I know, they never lasted long enough to count as mania for my psychs. So when you ask, okay, what else is it then? They shrug and say well it isnt mania. Dont go around comparing this to mania. You have no idea what mania is or feels like. And then you sit there knowing that in 3 years a select group of them can revise the rules in the DSM or ICD and suddenly what you experience is mania. Or they can just decide hey! No one actually does because mania isnt real! And none of it will ever change what you actually experience but it does change whether or not you are granted access to a label that unites you with others with similar experiences

And when you try to point this out to people they accuse YOU, the person actively experiencing the symptoms and talking about them, of trying to abolish the idea of YOUR OWN experiences being real at all? Because you dare to point out that the words are arbitrary??? The categories are arbitrary??

[headspace-hotel]

"New (old) perspectives on self-injurious and aggressive biting" published in Journal of Applied Behavior Analysis / Nine Inch Nails- The Hand that Feeds

I was troubled to see a trend of claiming that Autistic people who do not support Applied Behavior Analysis (ABA) are a group of "low-support-needs" autistics who are monopolizing the conversation and taking resources away from autistics with higher support needs—I think it is misunderstanding.

Individual positive or negative experiences with ABA are irrelevant here—the fundamental core of the therapy is behaviorism, the idea that an autistic person can be "treated" by rewarding "desirable" behaviors and punishing "undesirable" behaviors, and that an increase in desirable behaviors and decrease in undesirable behaviors constitutes successful treatment

In researching I found that ABA practitioners have published statements condemning conversion therapy. They refer to an unfortunate historical association between ABA and conversion therapy, but it is not association—ABA literally is conversion therapy; the creator of it used it to try to "cure" little boys that were too feminine.

ABA is considered "medically necessary" treatment for autism and the only "proven" treatment, in that it is proven to create decrease in "undesirable" behaviors and increase in "desirable" behaviors.

Undesirable behaviors for an autistic person might include things like stimming and talking about their interests, desirable behaviors might include eye contact, using verbal speech, playing with toys in the "right" way.

The BCBA behavior analyst code of ethics does not prohibit "aversive" methods (e.g. electric shock) to punish undesirable behaviors

The code of ethics only discusses the consent of the "client," not the person receiving the treatment

Many people will say "my child's ABA therapist would never make them repress harmless stims, give up their interests, use electric shocks...They understand the value of neurodiversity and emphasize the consent of the child..."

But consider...if nothing binds or requires an ABA therapist to treat stimming as important, nor restrains them from using abusive techniques, nor requires them to consider the consent of a person being treated, what protects vulnerable people other than luck? The ABA therapist still has an innately unethical level of power over a child being "treated."

Furthermore, consider: can a therapy built on the goal of controlling the behavior of a person who cannot meaningfully consent to it, especially without hard limits or protections on the kinds of behavior that can be coerced or controlled, ever be ethical?

I found many articles that discuss teaching "compliance" in autistic children, treating "compliance" as a reasonable goal to strive for without qualification...

The abstract of the above article struck me with a spark of inspiration. Biting is an undesirable behavior to be controlled, understandably so, since most would feel that violence should not be allowed. But I was suddenly reminded of the song "The Hand that Feeds" by Nine Inch Nails, which is a play on the saying "Don't bite the hand that feeds you," meaning don't lash out against someone that is kind to you.

But doesn't "the hand that feeds you" implicitly have power over you through being able to give or withhold food? In this case, kindness can be a form of coercion. Thus "biting the hand that feeds" is used in the song as a metaphor for autonomy and resisting coercive power. The speaker asks the audience if they have the courage to test the benevolence of their oppressors, or if they will remain compliant and unquestioning even though they know deep down that it isn't right.

Likewise the article blunders into something unintentionally poetic when it recognizes that biting is an innately possible behavior in response to "aversive" stimuli or the "removal of reinforcers." Reinforcers and aversives in ABA are discussed as tools used by the therapist—the presentation of a preferred food would be a reinforcer, for instance (and is often used as such in ABA).

The journal article considers biting as a behavioral problem, even though the possibility that someone may bite can never be eliminated. Contrastingly, "The Hand that Feeds" highlights the coercive power behind the ability to control your behavior, even when that control appears benevolent and positive, and argues that "biting the hand that feeds you" is not only a possibility but a moral imperative.

Consider: In what circumstances would you bite someone? To defend your own body? To defend your life? Are there circumstances in which biting would be the reasonable and the right action to take?

What authority decides which behaviors are desirable or undesirable, and rewards or punishes compliance or resistance? Who is an authority—your therapist? Your teacher? Your caregiver? Any adult? Any person with the power to reward or punish?

In what circumstances might compliance be demanded of you? In what circumstances would it be justifiable not to comply? What authority decides which circumstances are justifiable?

Can you imagine a circumstance where it might be important for a child to not comply with the demands of an adult? For a citizen to not comply with the demands of a government? Which authorities demand compliance in a right and just manner, and which demand compliance to things that are evil and wrong? Which authority has the power to differentiate the two? Should you trust them? Will you bite the hand that feeds you?/Will you stay down on your knees?

[dromaeocore]

Good news! There are plenty! Most of which have been in practice for years and have been shown to work! And these are just some of the alternatives!

[womenaremypriority]

the way both strong adherence to beauty culture with interest in fashion and beauty, AND gender nonconformity with no shaving, no makeup, and no interest in feminine clothing and behaviors, are considered a sign of mental illness. This world is a joke

[moriphile]

Love when my abnormal psych class is full of people demonizing personality and psychotic disorders.

"This STPD guy was really weird haha lol I'm not friends with him anymore."

Good. I'm happy for him. I'm sure he's doing much better without you around.

[justanothersyscourse]